Question

A 67-year-old with COPD has persistent dyspnea despite appropriate inhaler technique on tiotropium alone and <2 exacerbations last year. What escalation is recommended to improve symptoms?

Accepted Answer

Switch to LABA/LAMA combination

Answer

Add inhaled corticosteroid to LAMA

Answer

Add roflumilast

Answer

Start chronic oral prednisone 5 mg daily

Answer

Add theophylline

Practice question

A 67-year-old with COPD has persistent dyspnea despite appropriate inhaler technique on tiotropium alone and <2 exacerbations last year. What escalation is recommended to improve symptoms?